NPI | 1184899973 |
---|---|
Former Legal Business Name | RUSSELL H GRIFFITHS, MDPA |
Entity Type | Organization |
Authorized Contact | RUSSELL H GRIFFITHS President 208-433-1736 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: ID M7454) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2023-05-08 |